Division of Preventive Medicine, University of Alabama at Birmingham.
Department of Psychiatry and Human Behavior, University of Mississippi Medical Center.
J Pediatr Psychol. 2018 Sep 1;43(8):834-845. doi: 10.1093/jpepsy/jsx091.
To examine the association between caregiver proxy report of executive function (EF) and dysregulated eating behavior in children with obesity.
Participants were 195 youth with obesity aged 8-17 years, and their legal guardians. Youth height, weight, demographics, depressive symptoms, eating behaviors, and EF were assessed cross-sectionally during a medical visit. Analyses of covariance, adjusted for child age, gender, race/ethnicity, standardized BMI, depressive symptoms, and family income were used to examine differences in youth EF across caregiver and youth self-report of eating behaviors.
Youth EF differed significantly by caregiver report of eating behavior but not youth self-report. Post hoc analyses showed that youth with overeating or binge eating had poorer EF than youth without these eating behaviors.
Executive dysfunction, as reported by caregivers, in youth with obesity may be associated with dysregulated eating behaviors predictive of poor long-term psychosocial and weight outcomes. Further consideration of EF-specific targets for assessment and intervention in youth with obesity may be warranted.
探讨照顾者报告的执行功能（EF）与肥胖儿童饮食失调行为之间的关系。
研究对象为 195 名年龄在 8-17 岁的肥胖青少年及其法定监护人。在就诊期间，通过问卷调查评估了青少年的身高、体重、人口统计学特征、抑郁症状、饮食行为和执行功能。采用协方差分析，调整了儿童年龄、性别、种族/民族、标准化 BMI、抑郁症状和家庭收入，以考察照顾者报告和青少年自我报告的饮食行为之间青少年 EF 的差异。
青少年 EF 因照顾者报告的饮食行为而异，但青少年自我报告的饮食行为则不然。事后分析显示，有暴食或暴食行为的青少年的 EF 比没有这些饮食行为的青少年差。
肥胖青少年照顾者报告的执行功能障碍可能与饮食失调行为有关，这些行为预示着不良的长期心理社会和体重结局。可能需要进一步考虑针对肥胖青少年进行 EF 特定的评估和干预目标。
